Enfermería en la Unidad de Cuidados Intensivos: Fundamentos, Valoración, Intervenciones y Cuidados Especializados

Autores/as

Rómulo Ernesto Méndez Plúas
Investigador Independiente
https://orcid.org/0009-0005-2745-8251
Mery Lucía Espinoza Armijos
Investigadora Independiente
https://orcid.org/0009-0001-4585-5067
Yury Vanessa Morante Mora
Investigadora Independiente
https://orcid.org/0009-0003-7591-1693
Freyce Anabel Lema León
Investigadora Independiente
https://orcid.org/0009-0003-1244-8208
Liseth Estefanía Bonilla Trujillo
Investigadora Independiente
https://orcid.org/0009-0001-0615-7987
Diego Armando Uriarte Ibarra
Investigador Independiente
https://orcid.org/0009-0002-9680-0311
Marco Antonio Vera Núñez
Investigador Independiente
https://orcid.org/0000-0003-0326-5832
Karla Mariela Morocho Arias
Investigadora Independiente
https://orcid.org/0009-0007-6540-9156
Mario Rene Jiménez Yucailla
Investigador Independiente
https://orcid.org/0009-0007-5659-1099
Jessica Jacqueline Cifuentes Tumaille
Investigadora Independiente
https://orcid.org/0009-0005-3998-7038
Andrea Michelle Rivas Cobo
Investigadora Independiente
https://orcid.org/0009-0006-8735-0119
Adriana Jeaneth Santillan Cahuatijo
Investigadora Independiente
https://orcid.org/0000-0002-5150-6103
Marilyn Geomaira Espinoza De La Cruz
Investigadora independiente
https://orcid.org/0009-0006-4431-8223
Erik Fabrisio Alcívar Martínez
Investigador Independiente
https://orcid.org/0009-0002-5931-5202
Mónica Estefanía Ramón Tigse
Investigadora independiente
https://orcid.org/0000-0002-8305-253X

Palabras clave:

Enfermería; cuidados intensivos; paciente crítico; seguridad del paciente; cuidado humanizado.

Sinopsis

La presente obra aborda los fundamentos científicos, clínicos y humanísticos de la enfermería en unidades de cuidados intensivos, destacando su importancia en la atención integral de pacientes con alteraciones graves de las funciones vitales. A través de quince capítulos, desarrolla una secuencia temática que comprende la organización de estas unidades, la valoración del paciente crítico, la monitorización fisiológica y el manejo de la vía aérea, la oxigenoterapia y la ventilación mecánica. Asimismo, examina los cuidados cardiovasculares, las emergencias hemodinámicas, las alteraciones neurológicas, la disfunción renal y los desequilibrios hidroelectrolíticos y ácido-base. La obra incorpora el reconocimiento de la sepsis, la prevención de infecciones, la administración segura de medicamentos, el soporte nutricional y el manejo de dispositivos y procedimientos invasivos. Desde una perspectiva centrada en la persona, enfatiza la evaluación continua, el razonamiento clínico, la comunicación interdisciplinaria, la seguridad del paciente y la humanización del cuidado. También considera la recuperación funcional y la continuidad asistencial después de la hospitalización. Mediante explicaciones, tablas y figuras, ofrece recursos para fortalecer conocimientos y competencias de estudiantes, docentes y profesionales de enfermería. Su finalidad es contribuir a una práctica crítica, fundamentada en evidencia científica y orientada a preservar la dignidad y el bienestar del paciente.

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